Pathogenic Th17 and Th22 cells are increased in patients with autoimmune thyroid disorders

Endocrine. 2017 Sep;57(3):409-417. doi: 10.1007/s12020-017-1361-y. Epub 2017 Jul 1.

Abstract

Purpose: To study the levels of pathogenic and non-pathogenic Th17 and Th22 cells in autoimmune thyroid disorders patients. Although Th17 cells seem to play an important role in the pathogenesis of thyroid autoimmune disorders, the specific subsets of these lymphocytes have not been analyzed in this condition.

Methods: We assessed the levels of Th17 (pathogenic and non-pathogenic) and Th22 cells in peripheral blood and thyroid glands of autoimmune thyroid disorders patients (n = 26, 16 with Graves' disease and 10 with Hashimoto's thyroiditis) and 15 healthy controls by multi-parametric flow cytometry and immunofluorescence microscopy.

Results: We found increased levels of pathogenic Th17 lymphocytes and Th22 cells in peripheral blood from autoimmune thyroid disorders patients. In addition, these cells were detected in thyroid glands from HT patients. Furthermore, we found significant correlations between the levels of these cells and disease activity, disease duration, and the presence of ophthalmopathy.

Conclusions: The increased levels of pathogenic Th17 lymphocytes and Th22 cells in autoimmune thyroid disorders suggest their involvement in the pathogenesis of this condition.

Keywords: Autoimmune thyroiditis; Graves’ disease; Hashimoto’s thyroiditis; Th17 cells; Th22 cells.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Autoantibodies / analysis
  • Autoimmunity*
  • Cells, Cultured
  • Female
  • Flow Cytometry
  • Graves Disease / immunology*
  • Graves Disease / metabolism
  • Graves Disease / pathology
  • Graves Disease / physiopathology
  • Graves Ophthalmopathy / etiology
  • Hashimoto Disease / immunology*
  • Hashimoto Disease / metabolism
  • Hashimoto Disease / pathology
  • Hashimoto Disease / physiopathology
  • Humans
  • Iodine / urine
  • Lymphocyte Activation
  • Lymphocyte Count
  • Lymphocytosis / etiology*
  • Male
  • Microscopy, Fluorescence
  • Middle Aged
  • Severity of Illness Index
  • T-Lymphocytes, Helper-Inducer / immunology*
  • T-Lymphocytes, Helper-Inducer / metabolism
  • T-Lymphocytes, Helper-Inducer / pathology
  • Th17 Cells / immunology*
  • Th17 Cells / metabolism
  • Th17 Cells / pathology
  • Thyroid Gland / immunology*
  • Thyroid Gland / metabolism
  • Thyroid Gland / pathology
  • Thyroid Gland / physiopathology
  • Thyroid Hormones / blood

Substances

  • Autoantibodies
  • Thyroid Hormones
  • Iodine